Women’s Health

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Complex and Natural

TLJ Aesthetics MD understands the unique, special, and sometimes complex needs and concerns of women. Dr. Jacobson, a women’s health doctor in Issaquah, has an in-depth understanding of these complexities, as she is a board-certified internist and aesthetics physician. From intimate health and aesthetic beauty to physical and emotional health, TLJ is here for women who truly desire to be the best version of themselves—as naturally as possible.

Your individual concerns are carefully assessed and together, a treatment care plan is established that you can feel good about. Know your concerns have been heard and that you’ve been given the information necessary to make the informed choices that are right for you.

Comprehensive Care

TLJ has been called a convenient “one stop shop” by many of our female patients who feel a little like they are spending a day at the spa with entrusted friends and updating that pap in the same visit. Sound kinda funny? That’s the beauty of getting comprehensive care at a medical spa and women’s health doctor in Issaquah at TLJ Aesthetics MD—caring for you, inside and out!


Our practice, commonly referred to as “TLJ,” is comprised of two divisions which overlap considerably. On one side, we have TLJ Aesthetics MD dedicated to your aesthetic concerns. On the other, TLJ Concierge Primary Care, dedicated to preventative care, early detection, medical problem management, and women’s health. Our mission is to offer a comprehensive approach to treating our female patients.

The spectrum of care provided for our female patients looks like this:

Aesthetic care/ Skin care for a wide spectrum of cosmetic concerns
Dermatology for medical skin concerns such as acne, rosacea, skin cancer detection
Preventative medical care – annual wellness exams, pap, cancer screenings, vaccinations
Early detection and diagnosis to keep your health optimal
Perimenopause/ Menopause management
Hormone Replacement Therapy
Feminine Rejuvenation for bladder control, vaginal dryness, vaginal laxity
Medical management of a wide range of problems including but not limited to:


Anxiety/ Depression

High Cholesterol


Menopause/ perimenopausal management is a service we provide through TLJ Concierge Primary Care. A thorough personal and history, physical examination and assessment are required for us to determine whether you are a good candidate for hormone replacement therapy (HRT). Women’s health is complex so we believe that you and your health should be managed thoughtfully and only with science/evidence- based approach.

To learn more and determine whether TLJ is a good fit for you, simply text or phone our office for a complimentary meet and greet visit to discuss your needs and how we can assist.

Yes, we do offer feminine rejuvenation for issues including urinary incontinence, vaginal dryness, vaginal laxity. As part of that treatment, we may suggest topical vaginal estrogen as well. While we suggest considering TLJ Concierge Primary Care for a more comprehensive approach, it is not a requirement for this specific in office treatment.

Insurance does not cover ThermiVa treatments. Some health savings account may, however. Check with your HSA to determine your eligibility. Otherwise, this treatment is self-pay.

It is not true that women must be uncomfortable in their own bodies when stages of life change. From childhood all the way to senior years, we are changing all of the time. One particular stage of life can be challenging for women – menopause. There is a lot of misinformation and a lot of medical provider lack of interest in this topic. At TLJ Concierge Primary Care, we find educating women on this subject to be particularly rewarding. Helping you with solutions that are safe and make a difference in your quality of life, even more so. Menopause does not need to be so challenging and we are here to help you.

Intimate issues such as bladder leakage, vaginal laxity, vaginal dryness, external structure laxity are all issues that can be successfully treated without surgery or medication, in many cases. Bladder leakage can severely limit the activity level of women and quality of life. Laxity and dryness can affect sexual wellness and intimacy with one’s partner. At TLJ, we have found ThermiVa to be life changing for women. No pain and no downtime, and the treatment duration is less than 30 minutes.

Since a highly publicized study, “Women’s Health Initiative,” published in 2002 sounded the alarms about potential safety issues of hormone replacement in women, panic ensued. An while we have answered most of the questions and quieted those alarms, misinformation and misguided hormone management are still all too common. It is important to be evaluated and treated with a provider who only practices science based, evidence based medicine for your safety and wellbeing.
For many common questions and answers regarding HRT, click here:

TLJ Concierge Primary Care is available to both men and women. Historically, 40% of our patient base in that division of our practice have been men. We commonly see couples and families (children 16 years of age and older). We provide women’s health as well as comprehensive primary care – internal medicine / family medicine at TLJ.

Team TLJ

Dr. Jacobson and her team of medical providers and staff have worked closely with women and their healthcare needs for over 25 years. They understand the unique and special needs that female patients truly have.  Their knowledge and expertise help their patients with a wide range of concerns. Dr. J has tailored much of her education and training on the needs of women specifically.At TLJ, the standard of women’s healthcare is working directly with physicians and surgeons who have developed the very techniques used her to treat issues such as bladder leakage, vaginal dryness, vaginal laxity due to hormone changes or childbirth, and recurrent UTIs.  Doing so ensures the treatments you receive are optimal for the best results.

What kinds of treatments and interventions are helpful?
Feminine/Intimate Rejuvenation Treatment
Hormone Replacement Therapy
Local Hormone Treatment

Other standards our team feels strongly about include avoidance of over-treating, unnecessary testing, and overprescribing.  Evidence- based medicine and treatment are of the utmost importance.  For women, balancing health and fitness, emotional health, and cosmetic concerns are much easier with TLJ on your team.

Team at TLJ Aesthetics MD